LAUREN WIESE (NPI# 1144776543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144776543 |
| Entity Type | Individual |
| Full Name | LAUREN WIESE |
| Practice Address |
957 Route 33 Hamilton Square NJ 08690 |
| Mailing Address |
3 Acorn Hill Holw Voorhees NJ 08043-1524 |
| Practice Telephone | 6095875858 |
| Mailing Telephone | 6098418121 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12451 | CT | Dental Providers |
| N | 122300000X | Dentist | 16148 | MD | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
026532 | NJ | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W Lombard St Apt 1016, Baltimore, MD 212012537 | 6098418121 | |
| 3 Acorn Hill Holw, Voorhees, NJ 080431524 | 6098418121 |
| Street Address |
957 ROUTE 33 |
| City | HAMILTON SQUARE |
| State | NJ |
| Zip Code | 08690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255717583 | Farida Fanuswala | Dentist | 957 Route 33, Hamilton Square, NJ 08690-2727 | 2015-08-10 |
| 1053725515 | Princeton Medical and Behavioral Health, LLC | Internal Medicine | 957 Route 33, Suite 390, Hamilton Square, NJ 08690-2727 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982936 | Sarah Moore | Registered Nurse | Robert Wood Johnson Hospital, 1 Hamilton Health Place, Hamilton, NJ 08690 | 2020-02-03 |
| 1871136598 | Ariel Alexis Nardini | Counselor | 2135 Nj-33, Trenton, NJ 08690 | 2019-10-25 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1043736978 | Sanna Quasmieh | Occupational Therapist | 2277 Route 33 Ste 411, Hamilton, NJ 08690 | 2017-08-22 |
| 1972054336 | Joseph Cacciabaudo | Specialist | 864 Estates Blvd., Hamilton Square, NJ 08690 | 2016-10-20 |
| 1629432315 | Liqin Zhang | Nurse Practitioner | 2065 Klockner Rd., Trenton, NJ 08690 | 2016-04-08 |
| 1780059527 | Shalom Therapeutic Services LLC | Clinic/Center | 1374 White Horse Hamilton Square Rd, 301, Hamilton, NJ 08690 | 2015-12-04 |
| 1639554926 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 433 Princeton Ave, Hamilton, NJ 08690 | 2015-07-28 |
| 1043692783 | Hamilton Township Dental Associates LLC | Dentist | 1262 Whitehorse Hamilton Square Road, Hamilton Township, NJ 08690 | 2015-06-18 |
| 1255710182 | Lauren Domanski | Chiropractor | 1670 Whitehorse Hamilton Sq. Rd., Hamilton, NJ 08690 | 2015-05-26 |
| Find all providers in zip 08690 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336283704 | Massimo Vincenzo Verduci | Dentist | 2279 Highway 33 Ste 516, Hamilton Square, NJ 08690-1750 | 2007-02-17 |
| 1689893240 | Christopher Neil Cetta | Dentist | 2929 Klockner Rd, Hamilton Square, NJ 08690-2809 | 2007-04-24 |
| 1336154194 | Stephen Rogow | Dentist | 2929 Klockner Rd, Hamilton Square, NJ 08690-2809 | 2006-07-30 |
| 1174537237 | Michael Deluca | Dentist | 2929 Klockner Rd, Hamilton Square, NJ 08690-2809 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | HAMILTON SQUARE |
| Zip Code | 08690 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.